Active NPI
Renee Ann Williams, LMFT, LPCC
- Marriage & Family Therapist
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 124536
- Practice address
- 1544 Eureka Rd Ste 280
Roseville, CA 95661-3093 - Phone
- (916) 865-6833
- Fax
- (480) 542-5456
- NPI assigned
- Feb 26, 2021
- Reactivated
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 124536 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 8572 | ID | |
| Marriage & Family Therapist | 106H00000X | 15738 | AZ |
Addresses
Primary practice location
1544 Eureka Rd Ste 280
Roseville, CA 95661-3093
Mailing address
1119 S Mission Rd # 345
Fallbrook, CA 92028-3225
Phone (916) 865-6833
Other practice location 1
9929 N 95th St Ste 101
Scottsdale, AZ 85258-4592
Phone (916) 865-6833
Other practice location 2
15810 Los Gatos Blvd
Los Gatos, CA 95032-3315
Phone (916) 865-6833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 4, 2024 through Mar 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15738 | AZ | MD | Marriage & Family Therapist |
| 124536 | CA | MD | Marriage & Family Therapist |
| 8572 | ID | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renee Ann Williams a Marriage and Family Therapy Professional Corp | Marriage & Family Therapist | Current | Accepting new patients |
Locations
9590 E Ironwood Square Dr
Ste 220
Scottsdale, AZ 85258
Phone (480) 509-7737
9929 N 95th St
Ste 101
Scottsdale, AZ 85258
Phone (480) 234-8667
15810 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 354-5071
720 Sunrise Ave
Ste 212D
Roseville, CA 95661
Phone (916) 202-3992
2200 Douglas Blvd
Ste 140
Roseville, CA 95661
Phone (530) 645-2216
1544 Eureka Rd
Ste 280
Roseville, CA 95661
Phone (480) 217-8201
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Modern Sessions
- Marriage & Family Therapist
- Roseville, CA
- NPI 1609546795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1679167845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 S MISSION RD # 345",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920283225",
"telephone_number": "916-865-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 EUREKA RD STE 280",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613093",
"telephone_number": "916-865-6833",
"fax_number": "480-542-5456"
}
],
"practiceLocations": [
{
"address_1": "9929 N 95th St Ste 101",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852584592",
"country_code": "US",
"telephone_number": "916-865-6833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15810 Los Gatos Blvd",
"address_purpose": "LOCATION",
"city": "Los Gatos",
"state": "CA",
"postal_code": "950323315",
"country_code": "US",
"telephone_number": "916-865-6833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RENEE",
"middle_name": "ANN",
"credential": "LMFT, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-26",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"deactivation_date": "2021-03-24",
"reactivation_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "124536",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "8572",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "15738",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.